AMBER DISHMON (NPI# 1457996423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457996423 |
| Entity Type | Individual |
| Full Name | AMBER DISHMON |
| Practice Address |
1212 Reynolds Ave Poteau OK 74953-4724 |
| Practice Telephone | 9186490172 |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2019-11-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 000000000 | 05 |
| Street Address |
1212 REYNOLDS AVE |
| City | POTEAU |
| State | OK |
| Zip Code | 74953-4724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568897585 | Millennium Medical Services, L.L.C. | Counselor | 1212 Reynolds Ave, Poteau, OK 74953-4724 | 2013-09-10 |
| 1811518301 | Bonnie Dyer | Registered Nurse | 1212 Reynolds Ave, Poteau, OK 74953-4724 | 2020-05-06 |
| 1376163196 | Kelsey White | Case Manager/Care Coordinator | 1212 Reynolds Ave, Poteau, OK 74953-4724 | 2020-04-22 |
| 1063052538 | Ross Barnhart | Case Manager/Care Coordinator | 1212 Reynolds Ave, Poteau, OK 74953-4724 | 2020-01-13 |
| 1215575451 | Jacqueline Kay Lindenau | Case Manager/Care Coordinator | 1212 Reynolds Ave, Poteau, OK 74953-4724 | 2019-12-18 |
| 1124662416 | Kaila Willet | Case Manager/Care Coordinator | 1212 Reynolds Ave, Poteau, OK 74953-4724 | 2019-10-30 |
| 1780227454 | Caleb Christopher Blevins | Peer Specialist | 1212 Reynolds Ave, Poteau, OK 74953-4724 | 2019-10-24 |
| 1609419845 | Justin Mclaughlin | Case Manager/Care Coordinator | 1212 Reynolds Ave, Poteau, OK 74953-4724 | 2019-10-21 |
| 1699317008 | Natasha Lewis | Case Manager/Care Coordinator | 1212 Reynolds Ave, Poteau, OK 74953-4724 | 2019-10-17 |
| 1114568920 | Teran Barnhart | Case Manager/Care Coordinator | 1212 Reynolds Ave, Poteau, OK 74953-4724 | 2019-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235644550 | Kim Lynn Mcconnell | Case Manager/Care Coordinator | 907 Grace St., Poteau, OK 74953 | 2017-12-08 |
| 1356889745 | Brenda Stacy | Prevention Professional | 507 Drwey, Potesu, OK 74953 | 2017-02-06 |
| 1639621451 | Sabrina Danielle Minor | Case Manager/Care Coordinator | 15715 Greentop Road, Poteau, OK 74953 | 2016-10-27 |
| 1902352545 | Daniel Jesse Bruesch | Counselor | 600 Oklahoma Ave., Poteau, OK 74953 | 2016-09-01 |
| 1578912465 | Jo Ann Walden | Counselor | 507 Dewey Avenue, Poteau, OK 74953 | 2016-06-10 |
| 1154708477 | Kendal Repass | Specialist/Technologist | 17100 Nail Creek, Poteau, OK 74953 | 2015-05-06 |
| 1669891768 | Jennifer Branscum | Case Manager/Care Coordinator | 22681 Valley View Rd, Poteau, OK 74953 | 2014-04-16 |
| 1437582145 | Kim Loggains | Counselor | 2104 A-n. Broadway, Poteau, OK 74953 | 2013-08-16 |
| 1457783573 | Derek Morris | Counselor | 3111b N. Broadway St., Box 34, Poteau, OK 74953 | 2013-07-31 |
| 1568743177 | Carol Ann Oliver | Counselor | 34183 Country Club Lane, Poteau, OK 74953 | 2011-09-09 |
| Find all providers in zip 74953 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902352545 | Daniel Jesse Bruesch | Counselor | 600 Oklahoma Ave., Poteau, OK 74953 | 2016-09-01 |
| 1578912465 | Jo Ann Walden | Counselor | 507 Dewey Avenue, Poteau, OK 74953 | 2016-06-10 |
| 1689094898 | Sheila Brown | Counselor | 29141 Old Tarby Rd, Poteau, OK 74953-7181 | 2014-04-27 |
| 1437575958 | Stephanie Wiles | Counselor | 106 Woodbine Ave, Poteau, OK 74953-2262 | 2014-03-07 |
| 1356688675 | Kimberly Dawn Brown | Counselor | 510 North Broadway Ave, Poteau, OK 74953-0711 | 2013-01-07 |
| 1447506324 | Jessie Nicole Roberts | Counselor | 501 S Church St, Poteau, OK 74953-3809 | 2012-07-30 |
| 1740594324 | Brandy Jill Ward | Counselor | 403 N Earl St, Poteau, OK 74953-3514 | 2010-08-05 |
| 1538488499 | Kathy M Carter | Counselor | 213 Dewey Ave, Poteau, OK 74953-4203 | 2010-05-18 |
| 1851618466 | Randy G Wildman | Counselor | 205 Royal Oak Dr, Poteau, OK 74953-2936 | 2010-04-23 |
| 1538499272 | Debbie Sue Gay | Counselor | 3111 B N Broadway, Poteau, OK 74953 | 2009-12-31 |
| Find all providers in POTEAU | ||||
Please comment or provide details below to improve the information on AMBER DISHMON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.